Low Back pain NYC-Herniated disc NYC-Sciatica NYC-Back pain NYC

Low Back pain NYC-Herniated disc NYC-Sciatica NYC-Back pain NYC-
NYC Low Back pain specialist
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Over the past 14 years of treating patients with Low back pain,Sciatica and herniated discs in our Back pain and NYC Herniated disc treatment facility we have patients come in with MRI's that indicate disc involvement severe enough that if they where to consult with a surgeon they would recommend a back surgery. Some of the patients that come to us over the years have already had one or even two back surgeries.
I have listed below some of the MRI's findings on patients that have responded successfully to our Back pain/leg pain treatment protocols.
Our Protocols involve Spinal decompresion,Cox Flexion distraction, Cold laser therapy, Spine Force three dimensional Rehab,Custom made orthotics, Medical massage and more.

Clinical History: Low Back Pain


Findings: There is a slight scoliosis of the lumbar spine, convexity to the right.

There is no significant bony abnormality noted. There is disc space

narrowing at L3-4 and L4-5. There is probably disc space narrowing

also at L5-S1.


There is slight retrolisthesis of L4 on L5. There is minimal

retrolisthesis of L3 on L4










Findings: At L2/L3, there is a small left foraminal disc herniation and mild

canal and bilateral foraminal stenosis.




At L1/L2, there is mild diffuse bulging of the annulus fibrosis with a

small left paracentral annular tear.




Central disc herniations are noted at T11/T12 and T12/L1, effacing

the ventral thecal sac but without compression of the distal spinal

cord.




Impression: Degeneration of the lumbar discs and facet joins in superimposed

on congenital lumbar stenosis, with the largest disc herniation and

most severe canal stenosis at L4/L5.







Impression: Degenerative changes L3-4 disc space level.




Disc bulge in the midline L3-4 and right paracentral disc herniation

also present at this level.




Congenital central stenosis




Foraminal stenosis L3-4 disc space level.







Impression: Multilevel discongenic degenerative changes, most

pronounced at the L4/5 and L5/S1 levels.





Impression: Multilevel discongenic degenerative disease, most

severe at the L2/L3, L4/L5, and L5/S1 levels.




Moderate central canal stenosis from L2/L3 to L3/L4.




Multilevel moderate to severe neuroforaminal stenosis

without nerve root contact.


Stable postoperative changes from L4/L5 through L5/S1 with stable

soft tissue extending into the far left lateral/ ventral soft tissues at

the level of L4 consistent with postoperative changes.







Findings: At L5-S1, there is a rudimentary disc space and the canal and

neural foramina appear free of compromise at this level. Mild

hypertrophic degenerative changes of the facet joints are seen

at the L2-3 through L4-5 levels.




Intradurally, the conus tip and cauda equina appear intrinsically

within normal limits and there are no intradural abnormalities noted.

There are no fractures and destructive osseous lesions

demonstrated. There are no paravertebral soft tissue masses

noted.




Impression: A transitional vertebral segment at the lumbosacral junction is

referred as a sacralized L5 segment. Given this numbering

assumption, at both the L3-4 and L4-5 levels, there are

degenerative changes of the discs and facet joints, associated with

small, broad based, posterior disc protrusions/herniations, mildly

compromising the lateral recesses at both levels.



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back pain nyc,herniated disc nyc,sciatica nyc,leg pain nyc, Chiropractic care Manhattan NYC



Findings: There is normal alignment. The alignment remains normal in flexion

and extension. In the neutral position there is straightening of the

normal lumbar lordosis




There is a transitional vertebra demonstrated on this study, the

lowest level on axial images being labeled L5-S1.




There is disk desiccation noted at L3-4 and L4-5.




Impression: Muscle spasm.


L3-4 and L4-5 central disk herniations, those two-level herniations,

encroaching on the anterior thecal sac best demonstrated in neutral

and extension views. There is tension spinal stenosis.




Impression: Muscle Spasm


Small focal left-sided disk protrusion at L5-S1 with slight disk

placement of the left S1 nerve root posteriorly.







Impression: Large left posterolateral disk extrusion at L3-4 with superior

migration of the extruded disk almost to the level of the L2-3

interspace. It compresses on the left L3 nerve root within the left

lateral recess.




Status post left L5 hemilaminectomy. Enhancing tissue in the left

lateral epidural space and surrounding the left S1 nerve root is

consistent with epidural granulation tissue. Soft tissue in the left

ventral epidural space representing either granulation tissue or

small left posterolateral disk protrusion without impingement on the

emerging S1 nerve root




Degenerated mildly bulging intervertebral disk with superimposed

small right foraminal disk protrusion at L4-5 possible impinging the

exiting right L4 nerve root.
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Back pain NYC-Low back pain NYC treatment-Sciatica NYC -Herniated disc NYC

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treatment www.nycdisc.com
Non-surgical solutions for Chronic Low Back suffers in Manhattan, NYC



Over the years we have treated some of the most difficult to treat Back pain patients in NYC in our Manhattan,NYC practice. www.livingwellnewyork.com

I gathered a few MRI report findings from some of our more difficult to treat patients and posted them below without the patient name of course.

Reading some of the findings you would expect for these patients to undergo spine surgeries to correct their problems, in fact most of these patients where told they needed a surgery to get them out of pain.
These patients came to our Manhattan Back pain clinic instead and received a combination of
Cox flexion distraction technique, Spinal decompression with the DRX 9000, Cold laser therapy with the Erchonia laser, Rehabilitation on the SpineForce, Custom fabricated corrective orthotics, Physcical therapy and massage.

Clinical History: Low Back Pain



Findings: There is a slight scoliosis of the lumbar spine, convexity to the right.

There is no significant bony abnormality noted. There is disc space

narrowing at L3-4 and L4-5. There is probably disc space narrowing

also at L5-S1.


There is slight retrolisthesis of L4 on L5. There is minimal

retrolisthesis of L3 on L4


Findings: At L2/L3, there is a small left foraminal disc herniation and mild

canal and bilateral foraminal stenosis.

At L1/L2, there is mild diffuse bulging of the annulus fibrosis with a

small left paracentral annular tear.

Central disc herniations are noted at T11/T12 and T12/L1, effacing

the ventral thecal sac but without compression of the distal spinal
cord.

Impression: Degeneration of the lumbar discs and facet joints in superimposed
on congenital lumbar stenosis, with the largest disc herniation and
most severe canal stenosis at L4/L5.


Impression: Degenerative changes L3-4 disc space level.

Disc bulge in the midline L3-4 and right paracentral disc herniation

also present at this level.

Congenital central stenosis

Foraminal stenosis L3-4 disc space level.


Impression: Multilevel discongenic degenerative changes, most

pronounced at the L4/5 and L5/S1 levels.


Impression: Multilevel discongenic degenerative disease, most

severe at the L2/L3, L4/L5, and L5/S1 levels.


Moderate central canal stenosis from L2/L3 to L3/L4.

Multilevel moderate to severe neuroforaminal stenosis

without nerve root contact.


Stable postoperative changes from L4/L5 through L5/S1 with stable

soft tissue extending into the far left lateral/ ventral soft tissues at

the level of L4 consistent with postoperative changes.


Findings: At L5-S1, there is a rudimentary disc space and the canal and

neural foramina appear free of compromise at this level. Mild

hypertrophic degenerative changes of the facet joints are seen

at the L2-3 through L4-5 levels.


Intradurally, the conus tip and cauda equina appear intrinsically

within normal limits and there are no intradural abnormalities noted.

There are no fractures and destructive osseous lesions

demonstrated. There are no paravertebral soft tissue masses

noted.

Impression: A transitional vertebral segment at the lumbosacral junction is

referred as a sacralized L5 segment. Given this numbering

assumption, at both the L3-4 and L4-5 levels, there are

degenerative changes of the discs and facet joints, associated with

small, broad based, posterior disc protrusions/herniations, mildly

compromising the lateral recesses at both levels.



indings: There is normal alignment. The alignment remains normal in flexion

and extension. In the neutral position there is straightening of the

normal lumbar lordosis

There is a transitional vertebra demonstrated on this study, the

lowest level on axial images being labeled L5-S1.


There is disk desiccation noted at L3-4 and L4-5.

Impression: Muscle spasm.


L3-4 and L4-5 central disk herniations, those two-level herniations,
encroaching on the anterior thecal sac best demonstrated in neutral
and extension views. There is tension spinal stenosis.

Impression: Muscle Spasm

Small focal left-sided disk protrusion at L5-S1 with slight disk
placement of the left S1 nerve root posteriorly.



Impression: Large left posterolateral disk extrusion at L3-4 with superior
migration of the extruded disk almost to the level of the L2-3
interspace. It compresses on the left L3 nerve root within the left
lateral recess.

Status post left L5 hemilaminectomy. Enhancing tissue in the left
lateral epidural space and surrounding the left S1 nerve root is
consistent with epidural granulation tissue. Soft tissue in the left
ventral epidural space representing either granulation tissue or
small left posterolateral disk protrusion without impingement on the
emerging S1 nerve root

Degenerated mildly bulging intervertebral disk with superimposed
small right foraminal disk protrusion at L4-5 possible impinging the
exiting right L4 nerve root.

Some of these patients had previous back surgeries and most all these patients suffered with back pain and have tried physical therapies, epidurals and pain management without success.
If you are suffering with Back pain,Sciatica,Low Back pain,Neck pain,sciatica, slipped,bulged and herniated disc pain in Manhattan NYC call us for an immediate no-charge consulation at (212) 627-8149

Low Back Pain& Radiating Leg Pain- Back pain specialist helps to differentiate-Back pain treatment NYC

Low Back pain & Radiating Leg pain
NYC Back pain specialist-Dr Steven Shoshany

It is necessary to differtiate between pain in the lower back and pain, which radiates down the leg. It is common for the layperson to combine them into one category but to a physcian or surgeon,they represent different pathologies.
Lower back pain is not due to the pressure on a nerve root, as lower extremity pain is. Most low back pain is muscular or mechanical in nature, caused by overexertion, overuse, strain or sprain of the ligaments and tendons of the low back.
It may also be attributed to degeneration of the disck space and facet joints, which hold the spine together. It may also be caused by arthritis or stenosis or referred symptoms from organ involvement (bladder,gallblaffer, kidney, prostate One must also rule out organic causes as any form of cancer.

Lower extremity (leg) pain is often seen to radiate, termed "radicular pain". This refers to pain which shoots down the leg, from the low back or buttock. It usually results from pressure on a nerve, which produces a "pinching" of the nerve, which appears to radiate down the leg in the distrubution of the nerve pattern. Visit leg pain nyc for a excellent chart on nerve distribution.
When the "pinching" of the nerve is mild, one may experience numbness or tingling. As it progresses and becomes more severe, pain may develop. Further progression may present actual damage to the nerve and weakness may also result.
Each nerve in the lumbar spine has a specfic pathway. the nerves also carry threee distinct characteristic properties. They carry all threee of these properties to specific parts of the leg and foot.

1 One characteristic is known as sensory distribution property. What this means is that a nerve will supply the sensory (sensation) property to a certain part of the leg. for example the S1 nerve root, which is the first sacral root, supplies sensation to the lateral aspect of the foot (little toe).

2 One characteristic is known as the motor function property. What this means is that each nerve also supplies a characterisitc muscle.The S1 root supplies the calf muscles (gastrocnemius), which allows each of us to stand on our toes.

3 One characterisitic is known as the reflex pattern propert. Several of the nerves in the lumbar spine have a reflex associated with them. The S1 root has the Achilles reflex, which is elicted by tapping on the tendon of the heel.

Leg pain brought on by walking:

Neurogenic claudication refers to pain in the lower extremities brought upon by wallking. This is often caused by pressure upon the spinal nerves within the spinal canal, usually the result of the disc bulging into the nerves when standing.

Vascular or intermittent claudication is a type of pain, which must be distinguished from the lefg. and lower extremity pain from above. Vascular claudication is due to insufficient blood supply to the legs (arterial insufficiency), and is also brought upon by walking. the difference between the two is that merely standing (without walking) can cause neurogenic claudication but vascular claudication can only be brought on by walking.

Spinal decompression is truly the most effective procedure for severe and chronic cases of bulging, herniated discs, degeneration, arthritis, stenosis and pressure on nerves.

To learn more about our Back pain and herniated disc treatments visit www.drshoshany.com
Back pain NYC, Sciatica treatment NYC, Physical therapy NYC

herniated disc therapy questions, NYC-

Spinal Decompression

Subject herniated disc therapy

A recent question that was emailed to me and answer below:

Hello. I need a little advice that I hope you can give to me. In January 2010 I herniated my L2-3 disc. there was a central disc herniation with anterior thecal sac impingement and left foraminal impingement. I was going to a chiropractor who had me on the decompression table- the old fashioned kind where they strap your body in and there is calibrated wights that stretch your lower body as the table moves back and forth. It worked fine. But I was tod that I really needed a PT to help me rehab the core area and build myself back to normal. I have been going to a Mackenzie Specialist But all i was getting was heat treatments and then doing birddog exercises and a bicycle sort of exercise lying on my back. he also put me on this machine called the Repex machine- which stands for repetitive end range movements. Did Ok - but seemed to be going nowhere- I was doing the Mackenzie cobras at home every day Am and Pm. he told me not to do anything at home??? After almost 2 months of going to him I have now stopped. I do the cable exercises at home for my core- rotation and pulls etc etc BUT I still have some SLIGHT soreness in my left gluteal area and si AREA - this IS WHAT HE CALLS REFERRED PAIN.I understand that BUT what I need to know is how long will it take for me to feel 100% better. I have stopped ALL working out and am reallly really careful.I stand and sit with great posture and use lumbar supports in the car and at home. I also use the TENS machine and heating pads frequently. I read on many sites that COMPLETE SCAR tissue healing of a disc can take between 12-15 months. Does that mean this is when I will feel 100% better?????? I also have the book written by Jesse Cannone-- Lose the back pain.com and one exercise shows spinal decompression- by DRAPING yourself OVER the physio ball and letting yourself roll forward-- is this an OK exercise???If here is any added info you can advise me on I would be so very grateful for any expertise you can pass my way - either in the way of exercises besides the plethora of info I have found on the web or just some good old pat on the back to tell me that I will be OK- before this happened I could do anything- this back accident caused by doing deadlifts the WRONG way- has really slowed me down for the last few months- I would really like to get back to some exercises etc as soon as possible...P.S-- I do a lot of treadmilling since this occurred and just recently I have started to let myself hang from my chinning bar to let my spine decompress also-- please advise me on this also. Thanks so much for your ear and I hope to hear from you soon.

To answer your question,First I am not exactly sure about the type of spinal decompression table that you where treated on,there are so many table and products out there that claim to provide spinal decompression.
I use the DRX-9000 spinal decompression table in my NYC office, it provides consistent results and is very comfortable for the patient.
That being said, most everyone that completes spinal decompression needs to Rehab the Core muscles and strengthen the weak muscles and stretch the short muscles.
In my NYC non-surgical disc herniation facility we utilize the SpineForce Rehab system, it works by targeting all of the deep spinal muscles and works on strengthening them and stretching them, it's pretty awesome,check it out at www.spineforce.com
I like pull ups as well, that is a great way to lengthen your spine and strengthen your upper body, just be aware of any swaying and concentrate on form.
I don't know the Repex machine, but I use a machine that basically does a similar thing it is a repetitive flexion extension machine that does the Mackenzie technique.
It sounds like that you are doing everything you can and need to allow yourself time to heal, The disc is a avascular structure (meaning it has a poor blood supply) it takes time to heal after spinal decompression.
I have had patients complete a protocol and sometimes not see their desired results until a month or two after our last session. Healing a herniated disc takes time.
It is important to work on the core muscles and it sounds like you are already doing that, keep a positive mental attitude.
Good luck, and one more thing if after 2 months you are still hurting-I would go out and get a weight bearing MRI and add flexion,extension views
To learn more about herniated disc treatment in NYC
visit www.nycdisc.com
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